Title

The measurement of nursing home quality: Multilevel confirmatory factor analysis of panel data

Authors

Authors

N. J. Zhang;T. T. H. Wan

Comments

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Abbreviated Journal Title

J. Med. Syst.

Keywords

nursing home; quality; multilevel confirmatory factor analysis; CARE QUALITY; DEFICIENCIES; FACILITIES; OUTCOMES; Health Care Sciences & Services; Medical Informatics

Abstract

This study examined the validity of a measurement model of nursing home quality by using multilevel confirmatory factor analysis. Based on Mullan and Harrington's (2001) facility-level quality measurement model, a two-level analysis (facility and state) of the measurement model were performed. Two research questions were asked: (1) Can the measurement model developed at the facility-level be applied to state-level nursing home quality measurement? (2) Is the measurement model of nursing home quality stable over time? Panel data of 1997 and 2001, from the national OSCAR database, were used to test the assumptions. The results show that the state-level measurement model fits the data better than the facility-level model does. When the indicator "assessment" was removed from the state-level measurement model, a better-fitted measurement model was found. The two-level measurement model is relatively stable over time, demonstrating the construct validity of this measurement model.

Journal Title

Journal of Medical Systems

Volume

29

Issue/Number

4

Publication Date

1-1-2005

Document Type

Article

Language

English

First Page

401

Last Page

411

WOS Identifier

WOS:000231562100009

ISSN

0148-5598

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